Healthcare Provider Details

I. General information

NPI: 1003940057
Provider Name (Legal Business Name): CASEY EDWARDS SARMIERE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CASEY ELIZABETH EDWARDS PT

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 01/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 GERMANTOWN RD 2ND FLOOR
DANBURY CT
06810-5023
US

IV. Provider business mailing address

105 NEWTOWN RD # A SUITE 5
DANBURY CT
06810-4114
US

V. Phone/Fax

Practice location:
  • Phone: 203-798-6523
  • Fax: 203-798-0393
Mailing address:
  • Phone: 203-739-0765
  • Fax: 203-739-0792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number005959
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: